Inguinal hernia repair with polypropylene mesh during radical retropubic prostatectomy: an easy and practical approach

Abstract

maximum size 15 ¥ 7.5 cm and a small slit on its medial side was then created and placed in the preperitoneal space, embracing the spermatic cord and covering the myopectinal orifice. Preoperative risk factors, e.g. constipation, pulmonary disease or urinary obstructive symptoms, were collected retrospectively from the files. Complications after surgery, including wound infection, pelvic collections, urinary fistula and recurrence of the hernia, were assessed. RESULTSPreoperative risk factors for hernia development were identified in 23 (58%) patients; three had recurrent hernias. With a median 23.1 months of follow-up period two (4%) hernias recurred. There were no complications after surgery. CONCLUSIONPreperitoneal hernia repair with polypropylene mesh is safe, effective and practical. The procedure simultaneous with RRP gave a 96% success rate and with no significant increase in operating time or additional complications. KEYWORDS prostatectomy, inguinal hernia, surgical mesh, polypropylene OBJECTIVETo report the results of the simultaneous inguinal hernia repair during radical retropubic prostatectomy (RRP) with the preperitoneal tension-free Stoppa technique, using a polypropylene mesh. PATIENTS AND METHODSDuring 855 consecutive RRPs, 40 (5%) patients (median age 66.9 years, range 52-81) with 49 inguinal hernias had a simultaneous inguinal hernioplasty. The RRP was performed according to the Walsh modified technique. After the prostate and seminal vesicles were removed and the urethrovesical anastomosis completed, a polypropylene mesh of

Cesarean section and hernia repair: simultaneous approach

“…Prostatectomy, both transurethral or retropubic, and combined hernia repair is a well described and accepted procedure, which decreases the number of operations, anesthesia, hospital stay and health costs, and does not increase operative and postoperative morbidity 4–7 …”

“…On the other hand, the prevalence of inguinal or umbilical hernias during pregnancy is about 1:2000, 3 these being usually treated a few weeks after delivery. While hernia repair combined with prostatic surgery is a well reported common practice, with no increased postoperative morbidity, 4–6 the results of hernia repair combined with gynecological surgery have neither been extensively analyzed or carried out, and simultaneous completions of hernia repairs and of cesarean sections at the end of pregnancy are even less described.…”

New technique of inguinal hernia repair during prostatectomy

“…The result of hernia correction with a simultaneous Stoppa procedure and open surgical simple prostatectomy was associated with wound infection. 26 Reducing surgical cuts can be associated with a lower wound infection rate. A retrospective study by Choi et al showed that in 48 hernia repairs using the preperitoneal approach with a 12-cm mesh, no hernia recurrence was seen in comparison with the no-mesh group.…”

Concurrent radical retropubic prostatectomy and Lichtenstein inguinal hernia repair through a single modified Pfannenstiel incision: a 3‐year experience

“…In 1876, Annandale [17] described the preperitoneal hernioplasty and subsequently the modification of this technique by Nyhus (cited in [4]) was popularized and widely used. The preperitoneal mesh repair described by Stoppa et al [18] was reported by urologists performing RRP to give good results [4,19]. Choi et al [4] reported 70 hernioplasties using the preperitoneal approach; 35 had a mesh repair and the other 35 did not.…”